Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.18 / $140.00 / $254.11	Facility	26	$115.18	$140.00	$254.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.36 / $475.00 / $1,077.03	Professional		$378.36	$475.00	$1,077.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.64 / $140.00 / $320.20	Professional	26	$103.64	$140.00	$320.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $348.53 / $631.87	Professional	TC	$297.50	$348.53	$631.87
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $114.04 / $114.04 / $114.04	Facility	26	$114.04	$114.04	$114.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.91 / $549.22 / $1,140.56	Professional		$390.91	$549.22	$1,140.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.35 / $126.59 / $220.38	Professional	26	$94.35	$126.59	$220.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $298.88 / $423.91 / $935.76	Professional	TC	$298.88	$423.91	$935.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.39 / $802.35 / $1,390.18	Professional		$395.39	$802.35	$1,390.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.37 / $144.81 / $242.93	Professional	26	$91.37	$144.81	$242.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $299.61 / $599.04 / $1,141.66	Professional	TC	$299.61	$599.04	$1,141.66
United Facility/Professional Professional Modifier Low / Median / High Price $402.83 / $660.40 / $1,250.96	Professional		$402.83	$660.40	$1,250.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.10 / $121.53 / $240.49	Professional	26	$91.10	$121.53	$240.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $303.31 / $493.11 / $990.15	Professional	TC	$303.31	$493.11	$990.15